经前内侧入路和经胫骨隧道建立股骨隧道重建前交叉韧带疗效对比.pdf

2．4统计学方法·····································一···．．14 3结果·····一一”··一一一一·--···一一·—··-·“一一·······14 4 3。1术前、术后12个月Lachman测试比较·····················1 3．2术前、术后Lysholm评分比较·“-··一····················14 5 3．3术前、术后膝关节受限程度·················-·-··········1 4讨论····························”·················--···16 4．1ACL的解剖和生物力学·································一16 4．2ACL重建手术································一··一···一16 4．2．1移植物的选择···-·-··································17 4．2．2移植物的形态········································19 4．2．3移植物的固定·················--·····················20 4．2．4骨隧道的位置································-·····一21 4．2．5术中合并伤的处理················-···················25 4．3术后康复···········--················一······--·······26 5术后并发症··············································27 5．1骨隧道增宽··········································--27 5．2关节活动受限···································-······28 5．3膝关节感染-···················一······--··············28 5．4隐神经髌下支损伤··························-···········28 6结论················-···························-·······29 参考文献·····························-····················30 附 录··一·一·········一···--一一···一····一一··-·······42 综 述·····--···········································43 致 谢···········一·一一·”·一·一·一···一一一一·一······54 攻读学位期间发表的学术论文目录·······················-····55 作者声明··························．．·······················56 个人简历··················································57 2 中文摘要 目的： 对比研究经前内侧入路与经胫骨隧道建立股骨隧道重建前交叉 韧带的临床治疗效果。 和膝关节受限程度)，比较两者治疗效果。 结果： 结论： 相对于TT技术，AM技术可以更准确地定位股骨隧道，实现解 剖重建ACL股骨止点 关键词 前交叉韧带；关节镜；经前内侧入路技术；经胫骨隧道入路技 术 Clinical Anterior Researchof Reconstructionfor Surgical Cruci